'Islands of Risk': subgroups of adolescents at risk for HIV
| Autor: | Barbara J. Silver, Celia M. Lescano, Ralph J. DiClemente, Jonathon Thompson, Christopher D. Houck, Larry K. Brown, M. Isabel Fernandez, William E. Schlenger, Marina Tolou-Shams, David Pugatch |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Unprotected Sexual Intercourse Adolescent Sexual Behavior Psychological intervention HIV Infections Lower risk Risk-Taking Acquired immunodeficiency syndrome (AIDS) Developmental and Educational Psychology medicine Cluster Analysis Humans Risk factor Psychiatry Unsafe Sex business.industry medicine.disease Mental health Substance abuse Pediatrics Perinatology and Child Health Female business Student dropout Demography |
| Zdroj: | Journal of pediatric psychology. 31(6) |
| ISSN: | 0146-8693 |
| Popis: | Objective To use cluster analysis to determine profiles of adolescents at risk for HIV. Methods Adolescents 15-21 years old (N = 1153) with a history of unprotected sex were assessed in five domains of risk (unprotected sex, alcohol/marijuana use, other drug use, mental health crises, and arrest/school dropout) as well as demographic, contextual, and behavioral variables. Results Cluster analysis revealed separate three-cluster solutions for males and females. Among males, clusters were characterized by (a) mental health crises and unprotected sex, (b) alcohol/marijuana use and unprotected sex, and (c) lower risk. Among females, clusters were distinguished by (a) unprotected sex, (b) substance use and mental health crises, and (c) lower risk. Cluster membership was associated with secondary variables related to sexual risk. Conclusions Even within populations of high-risk adolescents, subgroups exist for which specific risk factors co-occur, particularly unprotected sex, mental health crises, and substance use. These patterns suggest that effective HIV prevention interventions may need to target the association between mental health and/or substance abuse with sexual risk for some adolescents. |
| Databáze: | OpenAIRE |
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